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  Created by IntelliJ IDEA.
  User: isoft-work 5
  Date: 11/16/14
  Time: 3:32 PM
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<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<html>
<head>
    <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
    <title></title>

    <link rel="stylesheet" type="text/css" href="../../css/style-common/alice-vnfas-core-v29a01739e3cd.css" media="all">
    <link rel="stylesheet" type="text/css" href="../../css/style-common/alice-vnfas-main-v7fb7ea25b252.css" media="all">
    <link rel="stylesheet" type="text/css" href="../../css/style-body/body-regedit/alice-vnfas-account-v272d129423cd.css" media="all">
    <!-- Style body -->
    <link rel="stylesheet" type="text/css" href="../../css/style-common/body/style-body.css" media="all">
    <!-- Het style body -->
    <script src="../../library/jquery-1.9.1.js" type="text/javascript"></script>
    <script src="../../library/jquery-ui/jquery-ui.js" type="text/javascript"></script>
    <script src="<%=request.getContextPath()%>/library/handlebar/handlebars.js" type="text/javascript"></script>
    <script src="../../js/wrapper.js" type="text/javascript"></script>
    <script src="../../js/user-edit-account.js" type="text/javascript"></script>
    <script src="../../js/domain/user.js" type="text/javascript"></script>
</head>
<body>
    <%@include file="../iframe/header.jsp" %>
    <div role="main" id="content">
<div class="l-hasSidebar">
<div class="l-sidebar box-bgcolor">
    <div class="customer_menu">
        <div>
            <h4 class="accMenuPad">Tài khoản</h4>
            <ul class="b-accountMenu mtm" id="yw0">
                <li class="selected "><a class="b-accountMenu-Itm sel-menu-myaccount" href="<%=request.getContextPath()%>/jsp/user/user-account.jsp">Tài khoản của tôi</a></li>
                <li><a class="b-accountMenu-Itm sel-menu-orders" href="#">Kiểm tra đơn hàng</a></li>
            </ul>    </div>
    </div>    </div>
<div class="l-main">
<div id="editAccount" class="line">
<div class="titleBar">
    <div class="strong b-account__title">Thông tin cá nhân</div>
</div>
<div class="b-account__container box-bgcolor mbm box">
<a class="rfloat btn-edit sel-link-edit-contact" href="<%=request.getContextPath()%>/jsp/user/user-account.jsp">Hủy</a>
<form id="form-account-edit" action="/customer/account/edit/" method="post" autocapitalize="off" autocorrect="off">
<div style="display:none"><input type="hidden" value="e2c662778e9164bc17208a03afc0aff777f54014" name="YII_CSRF_TOKEN"></div>                    <fieldset class="ui-fieldset acctemail">
<div class="unit size5of5">
<div class="ui-formRow mtm">
    <div class="label">
        <label>Địa chỉ email</label>
    </div>
    <div class="col1">
        <div class="collection">
            <p id="EditForm_email" class="strong"></p>
        </div>
    </div>
</div>
<div class="ui-formRow">
    <div class="label ">
        <label class="mts" for="EditForm_gender">Giới tính</label>                                </div>
    <div class="col1">
        <div class="collection">
            <select class="input-text" name="EditForm[gender]" id="EditForm_gender">
                <option value="">Chọn</option>
                <option id="EditForm_gender_nam"  value="NAM">Nam</option>
                <option id="EditForm_gender_nu" value="NỮ">Nữ</option>
            </select>                                                                            </div>
    </div>
</div>
<div class="ui-formRow">
    <div class="label ">
        <label class="mts required" for="EditForm_first_name">Tên <span class="required">*</span></label>                                </div>
    <div class="col1">
        <div class="collection">
            <input class="ui-inputText" name="EditForm[first_name]" id="EditForm_first_name" type="text" maxlength="50" value="">                                                                            </div>
    </div>
</div>
<div class="ui-formRow">
    <div class="label ">
        <label class="mts required" for="EditForm_last_name">Họ <span class="required">*</span></label>                                </div>
    <div class="col1">
        <div class="collection">
            <input class="ui-inputText" name="EditForm[last_name]" id="EditForm_last_name" type="text" maxlength="50" value="">                                                                            </div>
    </div>
</div>
<div class="ui-formRow">
    <div class="label ">
        <label class="mts required" for="EditForm_phone">Số Điện Thoại</label>                                </div>
    <div class="col1">
        <div class="collection">
            <input class="ui-inputText"  id="EditForm_phone" type="text" maxlength="50" value="">                                                                            </div>
    </div>
</div>
<div class="ui-formRow">
    <div class="label ">
        <label class="mts required" for="EditForm_address">Địa Chỉ</label>
    </div>
    <div class="col1">
        <div class="collection">
            <input class="ui-inputText"  id="EditForm_address" type="text" maxlength="50" value="">                                                                            </div>
    </div>
</div>
<div class="ui-formRow">
    <div class="label ">
        <label class="mts">Ngày sinh</label>
    </div>
    <div class="col1 1-row">
        <div class="collection">
            <select class="accountEditBirthDay" name="EditForm[day]" id="EditForm_day">
                <option value="">DD</option>
                <option value="01">01</option>
                <option value="02">02</option>
                <option value="03">03</option>
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
                <option value="09">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
                <option value="13">13</option>
                <option value="14">14</option>
                <option value="15">15</option>
                <option value="16">16</option>
                <option value="17">17</option>
                <option value="18">18</option>
                <option value="19">19</option>
                <option value="20">20</option>
                <option value="21">21</option>
                <option value="22">22</option>
                <option value="23">23</option>
                <option value="24">24</option>
                <option value="25">25</option>
                <option value="26">26</option>
                <option value="27">27</option>
                <option value="28">28</option>
                <option value="29">29</option>
                <option value="30">30</option>
                <option value="31">31</option>
            </select>
            <select class="accountEditBirthMonth" name="EditForm[month]" id="EditForm_month">
            <option value="">MM</option>
            <option value="01">01</option>
            <option value="02">02</option>
            <option value="03">03</option>
            <option value="04">04</option>
            <option value="05">05</option>
            <option value="06">06</option>
            <option value="07">07</option>
            <option value="08">08</option>
            <option value="09">09</option>
            <option value="10">10</option>
            <option value="11">11</option>
            <option value="12">12</option>
            </select>
            <select class="accountEditBirthYear" name="EditForm[year]" id="EditForm_year">
            <option value="">YYYY</option>
            <option value="2014">2014</option>
            <option value="2013">2013</option>
            <option value="2012">2012</option>
            <option value="2011">2011</option>
            <option value="2010">2010</option>
            <option value="2009">2009</option>
            <option value="2008">2008</option>
            <option value="2007">2007</option>
            <option value="2006">2006</option>
            <option value="2005">2005</option>
            <option value="2004">2004</option>
            <option value="2003">2003</option>
            <option value="2002">2002</option>
            <option value="2001">2001</option>
            <option value="2000">2000</option>
            <option value="1999">1999</option>
            <option value="1998">1998</option>
            <option value="1997">1997</option>
            <option value="1996">1996</option>
            <option value="1995">1995</option>
            <option value="1994">1994</option>
            <option value="1993">1993</option>
            <option value="1992">1992</option>
            <option value="1991">1991</option>
            <option value="1990">1990</option>
            <option value="1989">1989</option>
            <option value="1988">1988</option>
            <option value="1987">1987</option>
            <option value="1986">1986</option>
            <option value="1985">1985</option>
            <option value="1984">1984</option>
            <option value="1983">1983</option>
            <option value="1982">1982</option>
            <option value="1981">1981</option>
            <option value="1980">1980</option>
            <option value="1979">1979</option>
            <option value="1978">1978</option>
            <option value="1977">1977</option>
            <option value="1976">1976</option>
            <option value="1975">1975</option>
            <option value="1974">1974</option>
            <option value="1973">1973</option>
            <option value="1972">1972</option>
            <option value="1971">1971</option>
            <option value="1970">1970</option>
            <option value="1969">1969</option>
            <option value="1968">1968</option>
            <option value="1967">1967</option>
            <option value="1966">1966</option>
            <option value="1965">1965</option>
            <option value="1964">1964</option>
            <option value="1963">1963</option>
            <option value="1962">1962</option>
            <option value="1961">1961</option>
            <option value="1960">1960</option>
            <option value="1959">1959</option>
            <option value="1958">1958</option>
            <option value="1957">1957</option>
            <option value="1956">1956</option>
            <option value="1955">1955</option>
            <option value="1954">1954</option>
            <option value="1953">1953</option>
            <option value="1952">1952</option>
            <option value="1951">1951</option>
            <option value="1950">1950</option>
            <option value="1949">1949</option>
            <option value="1948">1948</option>
            <option value="1947">1947</option>
            <option value="1946">1946</option>
            <option value="1945">1945</option>
            <option value="1944">1944</option>
            <option value="1943">1943</option>
            <option value="1942">1942</option>
            <option value="1941">1941</option>
            <option value="1940">1940</option>
            <option value="1939">1939</option>
            <option value="1938">1938</option>
            <option value="1937">1937</option>
            <option value="1936">1936</option>
            <option value="1935">1935</option>
            <option value="1934">1934</option>
            <option value="1933">1933</option>
            <option value="1932">1932</option>
            <option value="1931">1931</option>
            <option value="1930">1930</option>
            <option value="1929">1929</option>
            <option value="1928">1928</option>
            <option value="1927">1927</option>
            <option value="1926">1926</option>
            <option value="1925">1925</option>
            <option value="1924">1924</option>
            <option value="1923">1923</option>
            <option value="1922">1922</option>
            <option value="1921">1921</option>
            <option value="1920">1920</option>
            <option value="1919">1919</option>
            <option value="1918">1918</option>
            <option value="1917">1917</option>
            <option value="1916">1916</option>
            <option value="1915">1915</option>
            <option value="1914">1914</option>
            <option value="1913">1913</option>
            <option value="1912">1912</option>
            <option value="1911">1911</option>
            <option value="1910">1910</option>
            <option value="1909">1909</option>
            <option value="1908">1908</option>
            <option value="1907">1907</option>
            <option value="1906">1906</option>
            <option value="1905">1905</option>
        </select>
        </div>
        <div class="l-row txtGray fsxs mts">
            <span class="l-cell accountEditLabelBirthDay ui-inlineBlock"><label for="EditForm_day">Ngày</label></span>
            <span class="l-cell accountEditLabelBirthMonth ui-inlineBlock"><label for="EditForm_month">Tháng</label></span>
            <span class="l-cell accountEditLabelBirthYear ui-inlineBlock"><label for="EditForm_year">Năm</label></span>
        </div>
    </div>
</div>
</div>
</fieldset>
<div class="rfloat">
    <p class="mbs">* Mục bắt buộc</p>
    <input class="btn btn-dark sel-account-edit-button" type="button" id="edit_accoutn_send_info" value="Lưu thay đổi">
</div>
</form>        </div>
</div>
</div>
</div>
</div>
    <footer id="footer" class="ptl mtl">
        <%@include file="../../jsp/iframe/footer.jsp" %>
    </footer>
</body>
<%@include file="../../jsp/iframe/popup-check-bill.jsp" %>
</html>
